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1598163578
DWAYNE G LIGHTSEY
COLUMBUS, GA
NPI
1598163578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-12-08
Last Update Date
2014-12-08
Business Address
Mr. DWAYNE G LIGHTSEY
1220 2ND AVE
COLUMBUS, GA 31901-5241
Phone number: 706-571-9128
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Mailing Address
Mr. DWAYNE G LIGHTSEY
1220 2ND AVE
COLUMBUS, GA 31901-5241
Phone number: 706-571-9128
Copy
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